Active NPI
Orthopedic Surgical Consultants, P.a.
- Durable Medical Equipment & Medical Supplies
- Chaska, MN
National Provider Identifier
1083933642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1123
- Legal business name
- ORTHOPEDIC SURGICAL CONSULTANTS, P.A.
- Practice address
- 3000 N Chestnut St
Suite 100
Chaska, MN 55318-3054 - Phone
- (952) 428-3399
- Fax
- (952) 428-3390
- NPI assigned
- May 21, 2010
- Last updated
- May 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Conrad Carlson, M.D.
- Title
- M.D., Owner, President
- Phone
- (952) 428-3399
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1123 | MN | Primary |
Addresses
Primary practice location
3000 N Chestnut St
Suite 100
Chaska, MN 55318-3054
Mailing address
1601 Saint Francis Ave
Suite 200
Shakopee, MN 55379-3383
Phone (952) 428-3399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 826312400 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- Orthopedic Surgical Consultants PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Shakopee, MN
- NPI 1295781920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274400000000",
"number": "1083933642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 SAINT FRANCIS AVE",
"address_2": "SUITE 200",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553793383",
"telephone_number": "952-428-3399",
"fax_number": "952-428-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 N CHESTNUT ST",
"address_2": "SUITE 100",
"city": "CHASKA",
"state": "MN",
"postal_code": "553183054",
"telephone_number": "952-428-3399",
"fax_number": "952-428-3390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC SURGICAL CONSULTANTS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-21",
"last_updated": "2010-05-21",
"status": "A",
"authorized_official_last_name": "CARLSON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "CONRAD",
"authorized_official_title_or_position": "M.D., OWNER, PRESIDENT",
"authorized_official_telephone_number": "952-428-3399",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MN",
"license": "1123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "826312400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chaska, MN
- Kayla Joy Oduor
- Rachel Oeffling, PA-S
- Kelly Jean Okray, PA-C, MSPAS
- Comfort C. Onyiah, MD MPH
- Orthodontic Specialists of Minnesota, P.L.L.C. (The Dental Specialists- Orthodontics)
- Osr Physical Therapy Limited Partnership
- Thomas Hugh Owen, DDS
- Pain Centers of Minnesota - Chaska, LLC
- Pain Centers of Minnesota - Chaska, LLC
- Lucian Panait, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.